MAKI KUSUNAGA

SAN DIMAS, CA
NPI1811240179
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: CA  17529)
Enumeration Date2012-10-23
Last Update Date2012-10-23
Business Address
Miss MAKI KUSUNAGA NP-C
400 W COVINA BLVD
SAN DIMAS, CA 91773-2954
Phone number: 909-592-6411
Mailing Address
Miss MAKI KUSUNAGA NP-C
400 W COVINA BLVD
SAN DIMAS, CA 91773-2954
Phone number:
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